Manzoor Ahmad, Abdul Baseer, Aamir Bilal, Muhammad Imran, Muhammad Abid Khan.
Outcome of Surgical Management of Hydatid Lung Disease-Peshawar Experience of 580 Cases.
Pak J Chest Med Jan ;21(3):100-3.

Objective: To evaluate the surgical management of pulmonary hydatid disease. Study Design: Retrospective observational study. Place of Study: Cardiothoracic Surgery Unit, Lady Reading Hospital Peshawar Duration of Study: June 2002 to December 2014. Methodology: Computerized clinical record of diagnosed cases of pulmonary hydatid admitted to cardiothoracic unit from June 2002 to December 2014 was retrospectively analyzed. Patients of all age both sexes and with pulmonary hydatid were included in this study. We excluded intrathoracic extrapulmonary hydatid cysts, transdiaphragmatic transmission and patients not fit for open surgical procedure. Results: Out of 580 patients, 381 were men and 199 were women.Age ranges from 16-69 years with a mean age of 34.5 years. Three hundred and thirty nine (58.4%) patients were symptomatic, most commonly with hemoptysis and chest pain, 82/580 (14.1%) patients presented with ruptured hydatid cyst. 159/580 (27.41%) patients were asymptomatic, found to have hydatid cyst incidentally. There were 296 (51%) hydatid cysts on right side, 236(40.6%) on the left side and 48 (8.27%) patients had bilateral hydatid. Hydatid cystectomy and wedge resection of pulmonary parenchyma were the chief operative procedures. Lobectomy was done in 35 patients, bilobectomy in 6 patients and pneumonectomy in 2 patients. Albendazole was prescribed to all patients postoperatively. Patients were followed up for a period of 6 months. Thirty one patients had post operative complications including wound infections in 22 patients, Bronchopleural fistula 5 patients and recurrence in 4 patients. Mortality was 2.06% including respiratory failure 08 and septicemia in 04 patients. Conclusion: Lung-preserving surgical intervention is the treatment of choice in hydatid lung disease however, lung resection can be carried out after assessing viability of the residual lobe. Antihelmentic medical regimen post operatively is also important to prevent recurrence.

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